Alexandria Nicole Lyon, PA is a medicare enrolled "Physician Assistant" provider in Davenport, Iowa. Her current practice location is
3200 W Kimberly Rd, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 421-0100.
Alexandria Nicole Lyon is licensed to practice in Iowa (license number 099852) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144850801.
Healthcare Provider's Profile
| Full Name | Alexandria Nicole Lyon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 3200 W Kimberly Rd, Davenport, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144850801
- Provider Enumeration Date: 01/22/2020
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860821048
- Enrollment ID: I20200409001620
Medical Identifiers
Medical identifiers for Alexandria Nicole Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144850801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 099852 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandria Nicole Lyon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alexandria Nicole Lyon, PA Po Box 431, Rapids City, IL 61278-0431 Ph: (309) 373-0334 | Alexandria Nicole Lyon, PA 3200 W Kimberly Rd, Davenport, IA 52806-3059 Ph: (563) 421-0100 |
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